# SHERIDAN CHILDREN'S HEALTHCARE SERVICES OF NEW MEXICO, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821395278
- **Authorized official:** ROBERT COWARD (PRESIDENT)
- **Authorized official phone:** (954) 838-2371

## Contact information

- **Practice address:** 10501 GOLF COURSE RD NW, ALBUQUERQUE, NM 87114-5019
- **Practice address phone:** (505) 727-2456
- **Mailing address:** PO BOX 452036, SUNRISE, FL 33345-2036
- **Mailing address phone:** (954) 838-2371

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | NULL | Yes |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/22/2011
- **Last updated:** 02/22/2011